IVAN T MYERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

IVAN T

Last Name

MYERS

Suffix

Business Name

IVAN T MYERS MD

Original Issue Date

09/06/1983

Effective Date

09/06/1983

Expiration Date

07/31/2005

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011